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dc.contributor.authorTan, Edwin C Ken
dc.contributor.authorStewart, Kayen
dc.contributor.authorElliott, Rohan Aen
dc.contributor.authorGeorge, Johnsonen
dc.identifier.citationResearch in Social & Administrative Pharmacy : Rsap 2013; 10(4): 623-32en
dc.description.abstractMedication-related problems (MRPs) are a concern in primary care settings. Pharmacists based in the community or community pharmacies are able to identify, resolve and prevent MRPs; however, the lack of a formal partnership with physicians and poor access to patients' medical records are limitations. In Australia, delivery of pharmacist services within general practice clinics is rare.To evaluate the effectiveness of consultations by pharmacists based within primary care medical practices.A prospective, before-after intervention study was conducted at two primary health care (general practice) clinics in Melbourne, Australia. Participants were clinic patients who had risk-factors for MRPs (e.g. polypharmacy). Patients received a consultation with the pharmacist in a private consulting room at the clinic or in their home. The pharmacist reviewed the patient's medication regimen and adherence, with full access to their medical record, provided patient education, and produced a report for the general practitioner. The primary outcome was the number of MRPs identified by the pharmacist, and the number that remained unresolved 6 months after the pharmacist consultation. Secondary outcomes included medication adherence, health service use, and patient satisfaction.Eighty-two patients were recruited and 62 (75.6%) completed the study. The median number of MRPs per patient identified by the practice pharmacist was 2 (interquartile range [IQR] 1, 4). Six months after review, this fell to 0 (IQR 0, 1), P < 0.001. The proportion of patients who were adherent to their medications improved significantly, according to both the Morisky (44.1% versus 62.7%, P = 0.023) and the Tool for Adherence Behaviour Screening (TABS) (35.6% versus 57.6%, P = 0.019) scales. There was no significant effect on health service use. Patients were highly satisfied with the pharmacist consultations.Consultations undertaken by pharmacists located within primary health care clinics were effective in identifying and resolving MRPs. The consultations were well received by patients and were associated with improvements in medication adherence.en
dc.subject.otherGeneral practiceen
dc.subject.otherMedication reviewsen
dc.subject.otherPharmaceutical careen
dc.subject.otherPrimary health careen
dc.subject.otherAged, 80 and overen
dc.subject.otherFollow-Up Studiesen
dc.subject.otherGeneral Practice.methods.standards.trendsen
dc.subject.otherMiddle Ageden
dc.subject.otherPharmaceutical Services.standards.trendsen
dc.subject.otherProfessional Roleen
dc.subject.otherProspective Studiesen
dc.subject.otherReferral and Consultation.standards.trendsen
dc.titlePharmacist consultations in general practice clinics: the Pharmacists in Practice Study (PIPS).en
dc.typeJournal Articleen
dc.identifier.journaltitleResearch in social & administrative pharmacy : RSAPen
dc.identifier.affiliationPharmacy Department, Austin Health, Studley Rd., Heidelberg, VIC 3084, Australiaen
dc.identifier.affiliationCentre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, 381 Royal Parade, Parkville, VIC 3052, Australiaen
dc.type.austinJournal Articleen
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
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